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Hospital authorities in the Philippines are none too pleased with three doctors and a nurse who extracted a 15cm spray canister from a male patient's rectum in a "rowdy" operation, footage of which subsequently popped up in three-minute video on YouTube

Health Secretary Francisco Duque III has ordered an investigation into the unnamed quartet from the Vicente Sotto Memorial Medical Centre in Cebu, AP reports. The 3 January video shows the medical staff "laughing, giggling and cheering", and at one point features a hand holding a mobile phone moving in to capture an additional close-up of the action.

As a doctor "gingerly" pulls out the canister, one wag shouts "Baby out!" to loud cheers. The man left holding the baby then sprays its contents on the onlookers.

Although the hospital has, following a probe, recommended "filing administrative cases against the four personnel, with penalties ranging from reprimands to dismissals for violating a code of conduct and ethical standards", the country's Health Department makes the final call.

The hospital explained in a statement that while the successful operation "may have prompted the cheers", it conceded they were "excessive and inappropriate and some acts were already in violation of some hospital policies".

As well as the four direct participants in the video, the procedure was observed by a fourth doctor and three other nurses - subsequently "sternly warned" - and a group of nursing students from a local school. The clinical instructor in charge of the students was banned from the hospital, while one of his charges is under investigation for allegedly publishing the video on YouTube.

The subject of the footage, an unnamed 39-year-old, is unimpressed with the hospital's handling of the outrage. His lawyer, Guiller Ceniza, said: "We are not satisfied with the proceedings conducted by the hospital. All the while we thought that they were conducting an administrative proceeding... to impose sanctions but what turned out was merely a fact-finding inquiry."

Pending the Health Department's ultimate decision on the fate of the four accused, Ceniza's client next week plans to file a suit "seeking the revocation of the licences of those responsible and a civil suit for damages".

In case you're wondering just how the poor bloke got a 15cm spray canister up his back passage in the first place, Ceniza explained he'd indulged in a New Year's Eve drinking spree and one-night stand with a male partner and was "too drunk to remember how [it] ended up in his body". ®